摘要
目的探讨新生儿重症监护室(NICU)早产儿医院感染高危因素。方法选择2018年5月至2019年5月我院452例NICU早产儿为研究对象,调查医院感染发生情况,分析医院感染与医院非感染早产儿胎龄、机械通气时间等临床资料,采用多因素logistic回归分析确定NICU早产儿医院感染高危因素并制定针对性预防措施。结果452例NICU早产儿发生医院感染64例,发生率14.16%。胎龄<32周、机械通气>3 d、留置胃管、出生体质量<1500 g是NICU早产儿发生医院感染的高危因素。结论NICU早产儿易发生医院感染,以呼吸系统感染为主,受到胎龄、机械通气时间等因素的影响,应针对高危因素采取针对性护理对策,降低NICU早产儿医院感染发生率。
Objective To explore the high risk factors of nosocomial infection in premature infants in neonatal intensive care unit(NICU).Methods To select 452 cases of NICU preterm infants in our hospital from May 2018 to May 2019 as the study objects,investigate the clinical data,such as occurrence of nosocomial infection,and analyze the clinical data of nosocomial infection and gestational age of nosocomial non-infected preterm infants,mechanical ventilation time,etc..Multi-factor logistic Regression analysis was used to determine the high-risk factors for nosocomial infection in NICU premature infants and develop targeted preventive measures.Results There were 64 cases of nosocomial infection in 452 NICU premature infants,and the incidence was 14.16%.The gestational age<32 weeks,mechanical ventilation>3 days,indwelling gastric tube,and birth weight<1500 g were the high risk factors effecting nosocomial infection in preterm infants in NICU.Conclusion The NICU premature infants were prone to nosocomial infections,mainly respiratory infections,and were affected by factors such as gestational age and mechanical ventilation time.So targeted nursing measures should be taken for high-risk factors to reduce the incidence of nosocomial infections in NICU preterm infants.
作者
毛媛媛
刘学敏
MAO Yuan-yuan;LIU Xue-min
出处
《护理实践与研究》
2020年第17期118-120,共3页
Nursing Practice and Research
关键词
新生儿重症监护室
早产儿
医院感染
高危因素
Neonatal intensive care unit
Premature infants
Nosocomial infection
High risk factors
